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Fentanyl (Transdermal Duragesic) is indicated for management of persistent, moderate to severe chronic pain that:
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Fentanyl (Transdermal Duragesic) is indicated for
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Buy Duragesic Patch Online at Westmed Supplies online pharmacy. Duragesic (Transdermal Duragesic) should only be used in patients who are already receiving opioid therapy, who have demonstrated opioid tolerance, and who require a total daily dose at least equivalent to Duragesic 25 mcg/h. Patients who are considered opioid-tolerant are those who have been taking, for a week or longer, at least 60 mg of morphine daily, or at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid. Take the bold step now and Buy Duragesic Patch Online with us. Buy Pain Pills Online
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Buy Fentanyl Transdermal Patches Online
Buy Fentanyl Transdermal Patches Online at Westmed Supplies Online pharmacy now. Because serious or life-threatening hypo ventilation could occur, DURAGESIC (fentanyl transdermal patches) is contraindicated:
-In patients who are not opioid-tolerant.
-In the management of acute pain or in patients who require opioid analgesia for a
short period of time.
-In the management of post-operative pain, including use after out-patient or day
surgeries (e.g., tonsillectomies).
-In the management of mild pain.
-In the management of intermittent pain [e.g. use on an as needed basis (prn)].
Do not use this medication if you:
-are allergic to fentanyl, the adhesives used in the patch, or any ingredients of the medication
-are not already using opioid (narcotic) painkillers to manage your pain
-have acute or severe bronchial asthma
-have severe difficulty breathing
-have delirium tremens (e.g., confusion, diarrhea, shaking, fever, hallucinations, disorientation) associated with alcohol withdrawal
-have acute alcoholism
-have epilepsy and other conditions that can cause seizures
-have increased intracranial pressure (increased pressure inside the head), cerebrospinal pressure (increased pressure inside the head and spine), or head injury
-are pregnant, in labour or delivering, or breastfeeding
WARNINGS AND PRECAUTIONS
Since the peak fentanyl levels occur between 24 and 72 hours of treatment, prescribers should be aware that serious or life threatening hypoventilation may occur, even in opioid tolerant patients, during the initial application period.
Precautions must also be taken in patients with the following conditions;
• Respiratory impairment
• Increased intracranial pressure
• Hepatic impairment.
The concomitant use of Duragesic with potent cytochrome P450 3A4 inhibitors(ritonavir, ketoconazole, itraconazole, troleandomycin, clarithromycin, nelfinavir, and nefazodone) may result in an increase in fentanyl plasma concentrations, which could increase or prolong adverse drug effects and may cause potentially fatal respiratory depression. Patients receiving Duragesic and potent CYP3A4 inhibitors should be carefully monitored for an extended period of time and dosage adjustments should be made if warranted. see wiki